ICD-10 Coding for Psychogenic Nonepileptic Seizures(F44.5, R56.9)
Complete ICD-10-CM coding and documentation guide for Psychogenic Nonepileptic Seizures. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Psychogenic Nonepileptic Seizures
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| F44.5 | Conversion disorder with seizures or convulsions | Use when PNES is linked to a conversion disorder. |
|
| R56.9 | Unspecified convulsions | Use when PNES is not linked to a conversion disorder. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for PNES
Essential facts and insights about Psychogenic Nonepileptic Seizures
Primary ICD-10-CM Codes for pnes
Decision Criteria
clinical Criteria
- Presence of psychological stressor and negative vEEG.
documentation Criteria
- Explicit linkage to conversion disorder.
Applicable To
- Psychogenic nonepileptic seizures
Excludes
- Epileptic seizures (G40.-)
Clinical Validation Requirements
- Documented psychological stressor
- vEEG showing no ictal patterns
- Typical PNES semiology
Code-Specific Risks
- Incorrect use without documented conversion disorder.
Coding Notes
- Ensure documentation of conversion disorder is present.
R56.9 - Unspecified convulsions
Use when PNES is not linked to a conversion disorder.
Applicable To
- Pseudoseizures without conversion disorder
Excludes
- Epileptic seizures (G40.-)
Clinical Validation Requirements
- Ambiguous terms like 'spells of unknown etiology'
- Negative vEEG without conversion disorder documentation
Coding Notes
Use only when conversion disorder is not documented.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Post-traumatic stress disorder, unspecified
F43.10Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Epilepsy, unspecified, not intractable, without status epilepticus
G40.909Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Psychogenic Nonepileptic Seizures to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code F44.5.
Impact
Clinical: Misdiagnosis of epilepsy., Regulatory: Non-compliance with coding standards., Financial: Potential claim denials.
Mitigation Strategy
Ensure vEEG results are included in the patient's record., Train staff on documentation requirements.
Impact
Reimbursement: Incorrect DRG assignment leading to potential revenue loss., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Ensure conversion disorder is explicitly documented.
Impact
Risk of audit if conversion disorder is not documented for F44.5.
Mitigation Strategy
Ensure thorough documentation of psychological factors.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Psychogenic Nonepileptic Seizures, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Psychogenic Nonepileptic Seizures
Use these documentation templates to ensure complete and accurate documentation for Psychogenic Nonepileptic Seizures. These templates include all required elements for proper coding and billing.
Neurology Progress Note
Specialty: NeurologyRequired Elements
- Event description
- Diagnostic confirmation
- Psychological linkage
- Treatment plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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